Recently, Tammy, charge nurse on 5B, found herself in an ethical dilemma involving one of our patients. This young woman had been placed on suicide precautions due to statements made. After a Psychiatric evaluation, it was determined the precautions could be removed; however, there was an order to maintain the clinical hold. The patient's bedside nurse and Tammy questioned this order. The patient was distraught at the thought of still being "held," even after being cleared. In good conscience, Tammy felt the patient's voice was not being heard. She made multiple calls in an exhaustive attempt to get all caregivers on the same page. She discussed the situation with our Mercy Ethicist to ensure she was approaching the situation appropriately. Later that evening, all caregivers agreed that it was in the patient's best interest to discharge to home.
Tammy is known for her calm, level headed approach to problem-solving. Her feathers are rarely ruffled. The staff looks to her for her methodical thought process in working through issues. Nurses are often that link between physicians and patients. In this case, Tammy used her skills and compassion to be that crucial link. Her passion and tenacious advocacy for this patient displayed Mercy's values of dignity and justice. She truly exemplifies the heart of nursing.